Individual
ANN SMITH DEPOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4469 RED ROCK RD, BENTON, PA 17814-7606
(570) 925-6424
(570) 925-5852
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP016111
PA
363LF0000X
Family Nurse Practitioner
SP016111
PA
Other
Enumeration date
04/20/2016
Last updated
08/28/2020
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